NPI | 1134818115 |
---|---|
Other Name | JEFF SOUNALATH |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 87077) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 15969) |
Enumeration Date | 2023-05-04 |
Last Update Date | 2023-05-05 |